MADISON AVENUE SURGERY CENTER LLC

IDAHO FALLS, ID
NPI1396100491
Entity TypeOrganization
Authorized ContactMARK EDWARD FREEMAN
President
208-881-5351
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2015-12-16
Last Update Date2015-12-16
Business Address
MADISON AVENUE SURGERY CENTER LLC
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7593
Phone number: 208-881-5351
Mailing Address
MADISON AVENUE SURGERY CENTER LLC
3760 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7593
Phone number: 208-881-5351
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